Why the study?
Does an advanced medical care program reduce hospitalizations in patients with chronic heart failure?
Does an advanced medical care program reduce hospitalizations in patients with chronic heart failure?
Implementation of an advanced medical care program for CHF, including quadruple therapy and nurse practitioner involvement, appears to reduce hospitalizations for acute decompensated heart failure.
May not yet support routine adoption of advanced CHF programs; leaves open benefit pending randomized confirmation.
The manuscript is a continuation of the first part devoted to advanced medical care for patients with chronic heart failure (CHF) in 2020—2022. The second part analyzes therapy in outpatient departments and dynamics of hospitalizations for acute decompensated heart failure according to regional registers. Preliminary data of CHF centers showed the effectiveness of this program, i.e. the number of hospitalizations decreased. It is assumed that these results may be due to improved interaction between doctors at all levels of health care and more thorough outpatient management of patients with CHF (initiation of quadruple therapy, improving adherence to treatment through nurse practitioners).
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Агеев et al. (2023) studied this question.
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